Estatísticas

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            "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Four-chamber view&#44; transthoracic echocardiogram&#44; showing the echolucent bullet at the apical myocardium with acoustic shadow &#40;arrow&#41;&#46; &#40;B and C&#41; Chest X-ray depicting a left-sided pneumohemothorax and two bullets&#44; one at the site of the cardiac apex &#40;B1 and C1&#41; and the second at the spinous process of the 12th thoracic vertebra &#40;B2 and C2&#41;&#46;</p>"
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        "titulo" => "Sarcoma prim&#225;rio card&#237;aco pleom&#243;rfico indiferenciado"
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          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Parasternal long-axis view on transthoracic echocardiography showing a broad-based mass adhering to the posterior wall of the left atrium and partially prolapsing into the left ventricle&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 36-year-old male patient was admitted to our hospital due to dysarthria and left-sided hemiparesis&#46; Past medical history included a twice resected cardiac undifferentiated pleomorphic sarcoma of the left atrium&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Brain computed tomography had negative findings&#46; However&#44; brain magnetic resonance angiography demonstrated a new-onset right frontoparietal infarct&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Transthoracic echocardiography &#40;TTE&#41; revealed multiple&#44; mobile&#44; echogenic masses with irregular surface in the left atrium&#44; invading the mitral valve and left ventricle&#46; The masses occupied the majority of the left atrial cavity and appeared to infiltrate the anterior and posterior wall of the left atrium&#46; A broad-based mass adhering to the posterior wall of the left atrium was partially prolapsing into the left ventricle through the mitral valve during diastole&#44; obstructing mitral inflow&#44; with a mean transmitral gradient of 16 mmHg&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">The echogenic mass lesions were also attached to the free edge and the atrial and ventricular surfaces of the mitral valve leaflets&#46; The mitral valve subvalvular apparatus was also affected&#46; In addition&#44; infiltration of the ventricular surface of the aortic valve was observed&#46; There was no associated pericardial effusion &#40;<a class="elsevierStyleCrossRefs" href="#fig0005">Figures 1-4</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">A recurrence of undifferentiated pleomorphic sarcoma was considered based on the patient&#39;s echocardiographic findings and medical history&#46; The underlying cause for the occurrence of stroke was thought to be sarcoma embolization&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">The patient was referred for consideration of cardiac surgery&#46; However&#44; he was deemed inoperable due to extensive infiltration of cardiac tissue and involvement of extracardiac structures&#44; as there was evidence of tumor penetration into the pulmonary veins&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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